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Show .ld'l: Er'l‘ECT OF THE GROWTH OF I'OLYPI. EFFECT or THE GROWTH or POLYPI. tor, but spitting and coughine. These advisers and assistants are never to be forgiven. On the second and every succeeding day, the noose is to be drawn tighter, until the root of the tumour being out through, the instrument comes away. Sometimes the tumour falling into the throat, it is thrown into the mouth. Sometimes it has been swallowed. Often it fades and wastes, and does not fall ofl‘lilre a distinct tumour. I have seen a foolishly timid. surgeon leave the wire bent up against the nostril until it cut it up ! When polypi, of a firm texture, are neglected, and, growing, press into the cells of the nose, they produce dreadful pain, destroy the bones, occasion a foetid discharge, as in ozaenaét, which unavoidably drops into the fauees, and is swallowed 3 and this is followed by wasting diarrhoea. Before the destruction of the bones is completed, the patients often die exhausted by frequent hzemorrhagies, continu~ ed pain, and diarrhoea. 15:" Whilst I say that polypi, which would otherwise be benign, are yet attended with these dangerous consequences, from their more growth and consequent pressure on the unequal surface of the spongy bones, I do not mean to say that there are not tumours here, or rather diseases of the mem» brane, of a much more dangerous nature; of a disposition not merely to destroy the bones by pressure, but by an assimu« lative action to involve them in disease, and to destroy them by ulceration. These polypi, according to Mr. Pott, begin with pain in the forehead and upper part of the nose-they are painful to the touch-they are hart --and when pressed, produce pain in the corner of the eye and forehead. He speaks also of the adhesion of their pendulous parts, which I really believe never happens. They may have more extensive roots, but do not adhere any where else. I have dissected the membrane of the nose in all stages of disease, from the simple colourless enlarge- ment of the pendulous membranes, to those in which the ethmoid bones were entirely destroyed ; and I have never seen not ' The carious state of the bones ofthc nose, produces a state ofdischargc tioners take for ozacna, however, is generally an abscess in the maxillary sinus, pouring its matter into the nose). The bones of the nose are peculiarly an adhesion of the polypus to a contiguous surface. That a cancerous-like disease will follow polypus, and that the polypus will vanish whilst the horrible disease has made its way weak-they are thin as wafer-have no diploc-and are only supported by the spongy membranes which surround them. Hence ithappcns, that when the thin bones of the nose are affected with disease, they quickly die, 311d have no power of renovation, so that they disappear, and what they support ed, sinks, never in any way to be elevated again. This hone cannot exfoli~ into the brain itself, I know from dissection. But. that Mr. Pott has given the true distinction of the benign and cancer~ ous polypus, I never could admit. There are some little contrivances in instruments, which ah ate, because it is a simple lamina of bone, and has no vascular internal di- most every su green has made for himself. haps, are these. very offensive and putrid, which has got the name ofozadia. ploe. (What practin "'hen the membranes are diseased, or separated from the bones of the nose, the bone is dead. The pressure of a tumour on the bones of the nose, by destroying their spongy membranes, (their sole support) makCS diem carious ; or, in other words, deadens them ; and so in the venereal ul- . -' ‘9 -, ....._ ..:‘-u:---:---""‘ " cer the carious and bare state of these bones to the probe, is to he consider» ed as the first stage of their total decay. They are dead, though not fit separated ; and when they separate, it is not by exfoliation, but by totally falling away. \Vhen matter flows from the nose, we have to consider the probability of its being from the antrum, or other sinuses ; we have to em" mine the laehrymal passages ; we have particularly to inquire for circnm~ stances ot'lbrmcr venereal infection; and for other complaints indicative (‘5 The best, per- The instrument 2, p. 152, is a simple rod of silver, with an eye at one end, A ; and a cleft at the other, B. The cord or wire is doubled, and put through the eye; the ends when drawn tight, are fixed into the cleft-The double canula, 3, is the instrument used by Levret. The noose A, is made by putting the ends of the wire into the canula ; and when it is drawn tight, they are fixed about the rings of the instrument. Still in adapting the noose to the neck of the tumour, an plulis in the body, instrument is wanted with which we can take hold of the cord |